Answers 2024/2025
Pancreatitis can cause secondary - ANSWERSDiabetes, so need to continuously check sugars
Preferred diagnostic tool for Cholelithiasis - ANSWERSUltrasound
Acute symptom of Cholelithiasis - ANSWERSSever abdominal pain that radiates to the back or right
shoulder
Biliary Colic Symptoms - ANSWERS-Severe pain with N/V
-Several hours after a heavy meal
What may develop in Cholelithiasis due to blockage of the common bile duct - ANSWERSJaundice
Ursodeoxycholic acid and Chenodeoxycholic acid medications are for what of Cholelithiasis -
ANSWERSFor cholesterol based stones
Laparoscopic Cholecystectomy - ANSWERSNon invasive. Removal of stones through small incision
through umbilicus
Care of Patient Undergoing Surgery for Gallbladder Disease - ANSWERS-Normally have a PCA pump
-Should have NO severe pain
The recommended medication post op for a patient who just went through surgery for gallbladder
disease - ANSWERSDilaudid
What two enzymes do you check for if suspecting pancreatitis - ANSWERSAmylase and Lypase (both will
be elevated if patient has pancreatitis)
,Acute Manifestation of Pancreatitis - ANSWERSEcchymosis in the flank or umbilical area may occur
Chronic Manifestation of Pancreatitis - ANSWERSRECURRENT attacks of sever upper abdominal and back
pain accompanied by vomiting
Collins Sign - ANSWERSC for peri umbilical (around umbilicus)
Turners Sign - ANSWERSEcchymosis on flank
Respiratory distress is a complication of - ANSWERSARDS
What is the major cause of acute and chronic pancreatitis - ANSWERSAlcohol use
Portal Hypertension causes - ANSWERSAscites and Esophageal varices
Asterixis - ANSWERS"Liver flaps"
Effects of Constructional Apraxia - ANSWERSDeterioration of handwriting and inability to draw a simple
start figure occurs with progressive hepatic encephalopathy
TIPS- Transjugular Intrahepatic Portosystemic Shunt - ANSWERSStent inserted via catheter to the portal
vein to divert blood flow and reduce portal hypertension
Hepatitis A - ANSWERS-Anal, fecal
-Mild flu like symptoms, low grade fever, anorexia
Hepatitis B - ANSWERS-Blood and booty
-Flu like symptoms
, Hepatitis C - ANSWERS-Circulation and coitus
-Symptoms usually mild
Hepatitis D - ANSWERSOnly persons with hep B are at risk for hep D (it is worse than B)
Hepatitis E - ANSWERSFecal-oral route
Liver Transplant - ANSWERS-Major surgery
-Big problem is rejection, so anti rejection meds for life
-Anxiety of waiting to get organ is a problem
-"I can see this is very troubling for you" is a good therapeutic response
Signs of a Transplant Rejection - ANSWERSFever and flank pain
Definition of Mental Illness - ANSWERSMaladaptive responses to stressors from the internal or external
environment, evidenced by thoughts, feelings, and behaviors that are incongruent with the local and
cultural norms and interfere with the individual's social, occupational, or physical functioning
Displacement Feelings - ANSWERS"Boss gives you a hard time so you come and take out on husband"
Projection Feelings - ANSWERSPutting it on someone else. Taking out frustrations on people or objects
that are less threatening. Projecting unwanted feelings onto other people.
Ex: If you have a strong dislike for someone, you might instead believe he or she does not like you.
Reaction Formation - ANSWERSDoesn't really want to go to nursing school but parents made her
Panic level of anxiety can result in - ANSWERSPsychotic behavior
Moral behavior - ANSWERSHow individuals ought to treat others